| Mr John Bradford Bowden, MD | |
|
1651 Galisteo St Ste 5, Santa Fe, NM 87505 | |
| (505) 983-0286 | |
| (505) 983-9203 |
| Full Name | Mr John Bradford Bowden |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 33 Years |
| Location | 1651 Galisteo St Ste 5, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831158385 | NPI | - | NPPES |
| 131854503 | Medicaid | TX | |
| L27J | Other | TX | BCBS |
| 8AW453 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | H6065 (Texas) | Secondary |
| 207N00000X | Dermatology | MD2015-0592 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Partners Of Northern New Mexico | 5496026270 | 5 |
| Entity Name | Dermatology Partners Of Northern New Mexico |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245752005 PECOS PAC ID: 5496026270 Enrollment ID: O20170814000729 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Bradford Bowden, MD 1651 Galisteo St Ste 5, Santa Fe, NM 87505 Ph: (505) 983-0286 | Mr John Bradford Bowden, MD 1651 Galisteo St Ste 5, Santa Fe, NM 87505 Ph: (505) 983-0286 |
Dr. Thomas Matthew Holmes, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 465 Saint Michaels Dr, Suite 118, Santa Fe, NM 87505 Phone: 505-988-5120 Fax: 505-982-1812 | |
Diane M. Reisinger, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2019 Galisteo St Ste N9b, Santa Fe, NM 87505 Phone: 505-980-8738 Fax: 505-404-8423 | |
Trisha Patel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2945 Rodeo Park Dr E Unit 5, Santa Fe, NM 87505 Phone: 505-303-0564 | |
James H Auerbach, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5 Calle Medico Ste A, Santa Fe, NM 87505 Phone: 505-557-6300 Fax: 505-557-6302 | |
Mrs. Allison A Legler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1651 Galisteo St Ste 5, Santa Fe, NM 87505 Phone: 505-983-0286 Fax: 505-983-9203 | |
Norman R Kaczmarek, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 539 Harkle Rd, Suite B, Santa Fe, NM 87505 Phone: 505-988-9769 Fax: 505-989-8078 | |
Dr. Ronald Rovner, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: No. 5 Calle Medico, Suite A, Santa Fe, NM 87505 Phone: 505-557-6300 |